Abstract
Aim: The aim of this study was to evaluate the efficacy of ice pack therapy on pain after mandibular third molar extraction. Material and methods: Thirty patients who required extraction of mandibular third molars and satisfied the inclusion criteria were included in the study. Bilateral full erupted mandibular third molars were extracted under local anesthesia. Routine medication and ice pack therapy (directly over the masseteric region of the surgery region for 12 hours, intermittently for 20 minutes) were performed after one side mandibular third molar extraction and only routine medication was applied after other side mandibular third molar extraction. The pain was evaluated with Visual Analog Scale. The Student t-test was applied to compare pain levels between groups. Results: The study was carried out in 30 patients, 15 female and 15 male with a mean age of 21.53±2.22 years. There was a statistically significant difference in the evaluation of VAS levels in postoperative 4, 6, 8, 12, 24 hours between the groups. Pain levels of female were found to be higher than male at 2nd, 4th, 6th and 24th hours in the non-ice pack therapy group and found to be higher than male at 4th, 6th and 8th hours in the ice pack therapy group. Conclusion: Pain levels after mandibular third molar extraction were significantly lower who had an ice pack therapy. Ice pack therapy is a viable alternative mode of improving the quality of life of patients after the extraction of third molars.
Highlights
The third molar tooth extraction is a common treatment in the oral surgery and general dentistry routine [1]
In this study was performed on the third molar tooth extraction in accordance with the literature
Many studies in the literature have reported that the most severe pain occurs after 6-8 hours after tooth extraction [13,14]
Summary
The third molar tooth extraction is a common treatment in the oral surgery and general dentistry routine [1]. Extraction of third molars is associated with complication that can be as common as pain. After a short time from the extraction of third molars, pain may occur and gradually increase its severity [2,3]. Pain that starts after tooth extraction reaches its maximum level between postoperatively 6-12 hours [4]. This pain has a negative effect on the quality of life in the postoperative period [5]. Many pharmacological methods such as preoperative and postoperative antibiotics, analgesics and corticosteroids and non-pharmacological methods such as cryotherapy (postoperative application of ice packs, etc.)
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